Revenue Cycle Management

Maximize Revenue

Behavioral health billing that actually works. From VOB to claims recovery.

Collection Rate
0 %
Clean Claim Rate
0 %
Revenue Recovered
$ 0 M
Complete Solutions

End-to-end revenue cycle management

Comprehensive billing services for inpatient and outpatient, adult and adolescent behavioral health programs.

Verification of Benefits

Preliminary and full VOBs detailing coverage, authorization requirements, and admission eligibility

Utilization Management

Prior authorizations, medical necessity reviews, and proactive monitoring for all program levels

Claims & Denials

Weekly claims submission, rigorous follow-up, appeals management, and root-cause analysis

Revenue Recovery

Out-of-network pricing, underpayment identification, and contract rate validation

Credentialing & Contracting

Provider credentialing, in-network applications, contract negotiation, and implementation

AR Reporting & Insights

Monthly KPI tracking, custom reporting, and revenue projections for leadership teams

Deep Expertise

Built for behavioral health

Specialized revenue cycle management for MH and SUD programs, with deep expertise in behavioral health billing requirements and payer relationships.

Verification of Benefits

  • Preliminary VOBs for fast admission decisions
  • Full VOBs with deductible, OOP, copays, and parity rules
  • Visit limits and authorization requirement analysis

Utilization Management

  • Prior authorizations for DTX, RTC, PHP, IOP, and outpatient
  • ASAM 4th edition, LOCUS, and CALOCUS compliance
  • EHR integrations: KIPU, Aura, Best Notes, Zen Charts
  • Proactive monitoring to prevent coverage gaps

Credentialing & Contracting

  • Out-of-network provider credentialing
  • In-network payer applications and negotiations
  • Reimbursement assessment and implementation
  • Contract review and optimization

Claims & Denials

  • Weekly claims submission through CollaborateMD
  • Rigorous follow-up to minimize AR aging
  • Appeals drafting and root-cause denial analysis
  • Corrected claims and payer-specific workflows

Revenue Recovery

  • Out-of-network pricing (Multiplan, PBS, GCS, Data iSight)
  • Underpayment identification and recovery
  • Contract rate validation and negotiation support
  • Monthly KPI tracking and custom reporting
Proven Performance

Results that drive growth

Strategic follow-up protocols and payer-specific workflows ensure stronger, faster reimbursement for behavioral health providers

70%
Collection Rate

Significantly above behavioral health industry benchmarks through strategic follow-up protocols and payer-specific workflows

FREQUENCY
Weekly

Claims submission through CollaborateMD (CMD) to ensure consistent cash flow


AUTOMATED
REPORTING
Monthly

AR reports with KPI tracking including aging buckets, denial categories, collection rate, and clean claim rate

WHAT SETS US APART
  • Rigorous claims follow-up to minimize AR aging
  • Custom reporting for executive leadership
  • Revenue projections based on historical data
Our Process

Four strategic steps

A streamlined workflow that optimizes every stage of your revenue cycle

01

Intake / VOB

Verify insurance eligibility and benefits in real-time before patient admission

02

Authorization

Secure prior authorizations and manage ongoing utilization reviews

03

Claims

Submit clean claims with accurate coding and comprehensive documentation

04

Follow-Up

Monitor A/R, resolve denials quickly, and provide detailed analytics

Ready to optimize your revenue cycle?

Schedule a consultation to discover how we can increase collections and streamline operations.

Providers Served
0 +
Revenue Optimized
$ 0 M+
Support Available
0 /7